KENNETH W MCKINLEY (Credential# 1442075) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
KENNETH W MCKINLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057008. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 3959 Broadway, New York, NY 10032. The current status is inactive.
| Licensee Name | KENNETH W MCKINLEY |
| Credential ID | 1442075 |
| Credential Number | 1.057008 |
| Credential Type | Physician/Surgeon |
| Business Address |
3959 Broadway New York NY 10032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-09-08 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1449245 | CSP.0066739 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-09-09 | 2017-09-09 - 2019-02-28 | LAPSED |
| Street Address | 3959 Broadway |
| City | New York |
| State | NY |
| Zip Code | 10032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrei Constantinescu | 3959 Broadway, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Silver | 3959 Broadway, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2016-02-29 ~ 2017-02-28 |
| Amy J Starr | 3959 Broadway, New York, NY 10032-1559 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Leonardo Liberman | 3959 Broadway, New York, NY 10032-1559 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | New York |
| Zip Code | 10032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy C Justice | 1 Mckinley Ave, New Haven, CT 06515-2733 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Frank Johnson | 17 Mckinley St, Bronxville, NY 10708-1806 | Physician/surgeon | ~ |
| David Poverman | 116 Mckinley Ave, New Haven, CT 06515 | Physician/surgeon | 1995-05-19 ~ 1996-05-31 |
| Mark Schwartz Md | 121 Mckinley Ave, New Haven, CT 06515-2007 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Mark X Cicero Md | 240 Mckinley Ave, New Haven, CT 06515 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jooyun Lee | 55 Mckinley Ave #dg-13, White Plains, NY 10606 | Physician/surgeon | 2009-05-18 ~ 2009-10-31 |
| Jeffrey L Sklar Md | 93 Mckinley Ave, New Haven, CT 06515-2733 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Lorraine Innes | 60 Mckinley Ave, Valhalla, NY 10595 | Physician/surgeon | 1993-01-25 ~ 1993-12-31 |
| Florence Haseltine | 340 Mckinley Ave, New Haven, CT 06515 | Physician/surgeon | 1999-09-28 ~ 2000-08-31 |
| Karen Jubanyik-barber Md | 90 Mckinley Ave, New Haven, CT 06515-2732 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KENNETH W MCKINLEY.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).